| NPI | 1346472768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ROONEY Director 631-495-9381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 004388) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |