| NPI | 1710468517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER FLANAGAN President 631-472-2629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY r03699) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2019-06-11 |