| NPI | 1356601330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BRODY Sole Owner 516-508-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000201-1) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |