| NPI | 1629686282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON KLEIN Owner Clinical Social Worker 631-835-4869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2025-08-13 |