| NPI | 1689040164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HARLAN PHILLIPS President 516-822-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 6069) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist (Licence: NY 6069) | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |