| NPI | 1346223252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA L CALABRESE President / Executive Director 631-321-7011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2019-05-08 |