| NPI | 1932405016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES W BANKS President 631-654-8101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY r0309191) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2011-09-13 |