| NPI | 1386891786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN CLEMENTS Psychologist / Owner 631-626-4459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 016820) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 016820) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |