| NPI | 1366955486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAISY TORRES Owner 631-252-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 081869-1) |
| Enumeration Date | 2017-11-11 |
| Last Update Date | 2019-11-12 |