| NPI | 1932805926 |
|---|---|
| Former Legal Business Name | NICOLE FALZONE |
| Entity Type | Organization |
| Authorized Contact | NICOLE FALZONE President 631-334-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2024-03-06 |