| NPI | 1952488363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN VASSALLO CFO 516-746-0350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 9206009A) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2009-05-07 |