NPI | 1932708682 |
---|---|
Doing Business As | ECLECTIC PSYCHOTHERAPY GROUP |
Entity Type | Organization |
Authorized Contact | MARINA KRUGOLETS Clinical Director 917-920-3411 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-10-23 |
Last Update Date | 2020-10-23 |