| NPI | 1164828851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD S. COLLIE Psychotherapist 917-232-7259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R-080045-1) |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2014-11-07 |