| NPI | 1154902658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN N GARTI Licensed Clinical Social Worker 631-834-0274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2021-04-16 |