| NPI | 1578075040 |
|---|---|
| Doing Business As | MICHAEL HERSHIPS, PHD |
| Entity Type | Organization |
| Authorized Contact | MICHAEL HERSHIPS CEO 631-361-9338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 008936) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2018-03-17 |