NPI | 1265811681 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK MICHAEL WEINTRAUB President/Lmhc 631-672-1331 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 6572) |
Enumeration Date | 2015-05-19 |
Last Update Date | 2015-05-19 |