| NPI | 1861041626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSHELLE A OGUNDELE Licensed Clinical Social Worker 516-647-1370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |