| NPI | 1154653616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM O'LEARY President 631-921-9138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 072250) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |