| NPI | 1568880771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES TOWNSEND Managing Member 631-343-3140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 248588) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |