| NPI | 1285793919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MCCARTHY Chief Financial Officer 631-669-5355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: NY 02644553) |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service (Licence: NY 02644553) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2015-04-14 |