| NPI | 1780858274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE ALEXIA SMALLING Secretary 516-795-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY R057190) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-07-11 |