| NPI | 1326709239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISKA IMBERTI Owner 631-889-3417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2023-03-20 |