| NPI | 1609923515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN DWYER Director 516-826-4891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R026117) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2010-04-29 |