| NPI | 1932571445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORAN KLEIN Mental Health Counselor 631-686-8057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 006346-1) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |