| NPI | 1720472665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM O'LEARY Therapist 631-921-9138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 072250) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |