| NPI | 1558738831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RAYSOR Executive Director 631-394-1805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: NY 00073712) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |