| NPI | 1396150264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA M ZAMPIVA Director 631-834-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0133000130) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2022-12-14 |