| NPI | 1598089740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE NANCY PETRARO Licensed Mental Health Counselor 516-481-0052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 18 002953) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-03-17 |