| NPI | 1427879964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JOSEPHINE SMART Owner/Founder 631-555-9311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-25 |