| NPI | 1437897139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY L PELLETTIERI Owner/Clinical Director 516-680-5967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2022-05-23 |