| NPI | 1316136559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE V BUTTON Owner 631-265-3133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 071106-1) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-10-23 |