| NPI | 1285331348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER QUAGLIARIELLO Clinical Social Worker 631-806-0919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2023-02-16 |