| NPI | 1649479817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYUDMILA PROKHIY Owner/Member 516-376-0865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |