| NPI | 1679276604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN ROCKER Licensed Clinical Social Worker/Own 631-742-4915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-03-31 |