| NPI | 1164646881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN BETH FENTY President 631-425-1168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 05-4186-R) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-06-30 |