| 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 |