| NPI | 1588021646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA GOLD Managing Member 848-219-1856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP2500X Counselor Professional | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |