| NPI | 1376878892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN E. SHEDRICK Co Owner 631-482-8010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076384) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 075960) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2009-10-16 |