| NPI | 1629753918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI BELLAN Owner/President 516-426-1459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-06-15 |