| NPI | 1730736109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA JEAN HIERONYMUS Owner 516-314-2652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 246RP1900X Technician, Pathology Phlebotomy | |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |