| NPI | 1790592145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET MULLIGAN Psychologist 516-384-9407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2024-12-18 |