NPI | 1154681971 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLISON BRODSKY President 631-656-8555 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 071407) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 000662-1) |
1041C0700X Social Worker, Clinical (Licence: NY 079264) | |
Enumeration Date | 2012-05-26 |
Last Update Date | 2012-05-26 |