| NPI | 1952811341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY L. AFFEE Owner 516-902-6141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2026-02-24 |