| NPI | 1750019733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ORTH President 516-263-2672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2022-08-09 |