| NPI | 1801751904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER AGOSTO Sm LLC 516-633-5041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-12-20 |
| Last Update Date | 2025-12-20 |