| NPI | 1396369310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE MARIE HEIMMER Sole Owner And Manager 631-278-3782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-07-20 |