NPI | 1770278228 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXA MORGENROTH Director Of Administration 631-220-0630 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2023-04-10 |
Last Update Date | 2024-01-04 |