| NPI | 1639990591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE NADINE MIMS-BROWN Psychotherapist 631-660-5666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-10-22 |