| NPI | 1710112636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISKA IMBERTI Clinical Director 631-888-0215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 075579-1) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |