| NPI | 1447879622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE MIRIAM MARJORIE WOODSON WHITE President 631-352-9735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2022-08-04 |