| NPI | 1851774889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MALONE Health Services Division Director 516-539-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-07-08 |