| NPI | 1952609232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ROTHMAN Family Specialist 631-920-8351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 072099) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-03-10 |