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 |