NPI | 1023522588 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER J ECONOMOU Director, CEO 866-369-1090 |
Organization Subpart ? | No |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
Additional Taxonomies | 101YP2500X Counselor, Professional |
103TC1900X Psychologist, Counseling | |
103TE1100X Psychologist, Exercise & Sports | |
Enumeration Date | 2017-11-20 |
Last Update Date | 2018-03-17 |