| NPI | 1396333480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M CASTRONOVA Co Owner 516-802-5676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-01-05 |