| NPI | 1588898647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LOPINTO President 631-398-3494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NY 014682-1) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2009-05-05 |