| NPI | 1326460932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYME HERSH Social Work 516-445-8502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 251s00000x) |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2014-01-16 |