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 |