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 (Licence: NY 005954-1) |
Enumeration Date | 2015-03-24 |
Last Update Date | 2023-09-20 |