| NPI | 1780069120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY COYLE Therapist 516-782-2439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 083398-1) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |