| NPI | 1467868356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELYSSA JODI YOOS President 631-543-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 0563961) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2014-07-11 |