| NPI | 1336965136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEXTER CLAUDE DANIEL Owner/Licensed Master Social Worker 631-486-0741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2024-11-26 |