| NPI | 1578271110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO CARRATELLI Owner / CEO 631-505-3780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-14 |