| NPI | 1689037574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE ANN FRATELLO Sole Proprietor 631-905-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 0044521) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |