Port Counseling Center INC
NPI #1215025366 in Port Washington, New York
Provider Information
- NPI Number
- 1215025366
- Entity Type
- Organization
- Organization Name
- Port Counseling Center INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 11, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 225 MAIN ST
- City
- Port Washington
- State
- New York
- ZIP Code
- 11050-3211
- Phone
- (516) 767-1133
Authorized Official
- Name
- AGNES LASETCHUK, CSW
- Title
- EXECUTIVE DIRECTOR
- Phone
- (516) 767-1133
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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