| NPI | 1215332721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA MORABITO Operating Manager 631-670-6980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 004801) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |