| NPI | 1093699779 |
|---|---|
| Doing Business As | RENEWED ROOTS THERAPY |
| Entity Type | Organization |
| Authorized Contact | CAITLYN ALBANO Clinical Psychologist 631-697-1561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2026-08-03 |