| NPI | 1043501158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL R MCNALLY President 631-796-3858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077501-1) |
| Enumeration Date | 2011-04-23 |
| Last Update Date | 2016-04-21 |