| NPI | 1609812130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA F RAIA President , Director 631-360-6695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 075024-1) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2021-07-20 |