NPI | 1487026183 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD GONZALEZ Clinician 516-652-2100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 1090) |
Enumeration Date | 2015-10-21 |
Last Update Date | 2015-11-09 |