| NPI | 1952676561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A. CARPENTE Clinical Director 516-678-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: NY 015451) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |