| NPI | 1831687706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALLEY CEGLIA TERRELL Licensed Clinical Social Worker 516-578-2560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007642) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |