| NPI | 1831585173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE FINLEY Social Work 516-729-8213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NY 091948-1) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |