| NPI | 1861886293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MARIE LOMANDO Mental Health Counselor 631-987-3130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NY 005954-1) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2023-09-20 |