| NPI | 1831588094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES STOKES CFO 631-410-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |