Impact Counseling Services I, Inc.
NPI #1760694947 in Lake Grove, New York
Provider Information
- NPI Number
- 1760694947
- Entity Type
- Organization
- Organization Name
- Impact Counseling Services I, Inc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 3, 2007
- Last Updated
- Apr 22, 2015
Practice Location
- Address
- 2760 MIDDLE COUNTRY RD
- Address 2
- SUITE 1
- City
- Lake Grove
- State
- New York
- ZIP Code
- 11755-2113
- Phone
- (631) 467-3182
Authorized Official
- Name
- MRS. CAROL ANN BRUNJES, LCSW R
- Title
- CEO CLINICAL DIRECTOR
- Phone
- (631) 467-3182
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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