NPI | 1467769398 |
---|---|
Entity Type | Organization |
Authorized Contact | RACQUEL YILLA CEO 631-848-3740 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 044-01-850-2) |
Enumeration Date | 2010-09-14 |
Last Update Date | 2012-06-02 |