| NPI | 1508242009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE D PEARCE Mhc 516-993-6815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY P95482) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-06 |