| NPI | 1265973960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH CIANCHETTI CEO 631-835-9631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R076342) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |