| NPI | 1437773611 |
|---|---|
| Doing Business As | COLLABORATIVE |
| Entity Type | Organization |
| Authorized Contact | KYLE WILLIAM MCEVOY Founder & Lmhc 929-306-6829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor Professional | |
| 102L00000X Psychoanalyst | |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2024-05-08 |