| NPI | 1821307406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE VICTORIA WRIGHT Director 516-799-1045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 1095079) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |