| NPI | 1164757787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH G. LENT Owner 631-474-1533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY R048202-1) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2019-05-16 |