| NPI | 1376209585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA BROWN Co Owner 631-513-8638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2021-11-11 |