| NPI | 1629593298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | K MARK SOSSIN President 516-326-2401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NY 007228) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 007223) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2022-07-21 |