| NPI | 1619342839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA SIMON-TAYLOR Owner 631-372-0556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 0065091) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2024-08-03 |