| NPI | 1013047927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODERICK ALLEN BORRIE Co Owner 631-689-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 07931) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |