| NPI | 1750682084 |
|---|---|
| Doing Business As | AVATAR COUNSELING INNOVATIONS |
| Entity Type | Organization |
| Authorized Contact | JOSEPH MICHAEL GAGLIANO President 631-828-2592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R049621-1) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |