| NPI | 1407029549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN SIBER Sole Member 516-931-7367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY r029067-1) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |