| NPI | 1750030722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY STOLLMAN Licensed Mental Health Counselor 631-872-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-03-18 |