| NPI | 1316162498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD STEVEN BOLL President 516-625-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 068428739) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |