| NPI | 1710536610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY EDVALINE VANSIEA President/Owner 516-247-3525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2020-03-24 |