| NPI | 1740644244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIERRETTE M. BEGENT Sole Mbr 631-834-6356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY F401855-1) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2018-05-02 |