| NPI | 1457838039 |
|---|---|
| Doing Business As | WAVE COUNSELING LCSW |
| Entity Type | Organization |
| Authorized Contact | PENINA PHILLIPS Office Manager 516-551-2462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |