| NPI | 1528581030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE M DELLA VALLE President 631-358-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082915-1) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2017-07-24 |