| NPI | 1578845731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARIE FLANAGAN Lcsw 631-472-2629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 053699-1) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2012-12-04 |