| 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 |