| NPI | 1467578575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ANNE VAN ESSENDELFT Director 631-744-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R040232) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-01-08 |