| NPI | 1417066697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | B JOY RACANELLI President/ Director 631-367-6610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |