| NPI | 1114127958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY P. HAYES President 315-422-1722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 012381) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2008-02-22 |