| NPI | 1215726047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE GIRARD Chairman 347-515-2417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-06 |