| NPI | 1407261811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELINE MARIE PAILLOT Owner And Founder 631-512-2232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 019026-1) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |