| NPI | 1508262841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY EYERMAN Owner 516-655-8648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 001003) |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2014-11-14 |