| NPI | 1194061325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON RICCIARDI President 631-923-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 002607-1) |
| Enumeration Date | 2012-12-16 |
| Last Update Date | 2014-03-25 |