| NPI | 1730463571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA TERESA BELIVEAU Clinical Social Worker 631-807-0761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R070249-1) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-10-07 |