| NPI | 1275193690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SMITH President 516-729-6557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2020-07-23 |