| NPI | 1568902062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MARIE ROLAND President/Owner 631-747-6652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079467) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |