| NPI | 1427439330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS P DEL GUERCIO Owner 631-751-0413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 006480) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2016-03-29 |