| NPI | 1528705126 |
|---|---|
| Doing Business As | NA |
| Entity Type | Organization |
| Authorized Contact | ADRIAN FIELDS Owner/ Clinician 631-885-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2022-05-16 |