| NPI | 1962294215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA KRAVITZ President/Director/Social Worker 631-338-6897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-08-25 |