| NPI | 1992112510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISSA GRUNBLATT President/Owner 631-264-0058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 069889) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2017-05-05 |