Sacred Space an Integrative Wellness Community
NPI #1922606896 in West Babylon, New York
Provider Information
- NPI Number
- 1922606896
- Entity Type
- Organization
- Organization Name
- Sacred Space an Integrative Wellness Community
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Oct 13, 2020
- Last Updated
- Oct 13, 2020
Practice Location
- Address
- 445 LITTLE EAST NECK RD
- City
- West Babylon
- State
- New York
- ZIP Code
- 11704-6543
- Phone
- (516) 265-2983
Authorized Official
- Name
- JENNIFER MARIE HAIRSTON-DAVIS
- Title
- LCSW-R
- Phone
- (516) 265-2983
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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