| NPI | 1679018949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA FLAHERTY Program Director 631-608-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: NY 1568459204) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-22 |