| 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 |