| NPI | 1659736791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER WEISS Lmhc 516-455-2009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2022-09-27 |