| NPI | 1346597614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH LYONS Managing Member 516-730-6124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R0775006-1) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2013-11-27 |