| NPI | 1487956983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE LEE CUSACK Senior Vice President & CFO 516-321-6058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: NY 0186111) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2018-07-23 |