| NPI | 1255807392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINELLY HOLDER President/CEO 516-286-1024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-16 |