| NPI | 1366572232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE STEVEN LAROSSA Administrative Manager 516-829-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000331) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |