| NPI | 1356322101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX BALKO Vice President Finance 516-632-3965 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2017-10-26 |