| NPI | 1396910626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A ECHEVARRIA Accounts Receivable Manager 631-366-5876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |