| NPI | 1336397686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROBERT UDARBE Attending Physician 516-336-2560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 208198) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NY 208198) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |