| NPI | 1477722635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW PATRICK President 631-553-3172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 246895) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-05-29 |