| NPI | 1790543239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA M TLOCZKOWSKI Mental Health Counselor 631-816-4154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |