| NPI | 1497892244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT T HAZELTON Director L Icensed Clinical Social W 516-713-1952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R034583) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |