| NPI | 1548876790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA DIBERNARDO President 516-650-4164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2024-01-03 |