| NPI | 1144760950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNI RISPOLI Mental Health Counserlor 516-381-3218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05389900) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |