| NPI | 1962873463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MANIS Owner 516-331-1370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 401230) |
| Enumeration Date | 2015-10-10 |
| Last Update Date | 2015-10-10 |