| NPI | 1891148391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA KLEPPER Licensed Mental Health Counselor 631-848-6303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 006320) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |