| NPI | 1306228812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT H PHILLIPS President/Director 516-822-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 6069) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2015-06-20 |
| Last Update Date | 2015-06-20 |