| NPI | 1679261143 |
|---|---|
| Former Legal Business Name | PCMH THERAPY, LLC |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS GRIFFIN Owner 516-761-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2024-08-09 |