| NPI | 1700325933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY NAN COOPER Social Worker 516-307-0072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-03-20 |