| NPI | 1326417999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS CRISAFI Nurse Practitioner 631-235-4871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NY 40401934) |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) (Licence: NY 40401934) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |