| NPI | 1932509700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE SPENCER-HOLMES Owner 631-608-5204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 202776) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |