| NPI | 1114131893 |
|---|---|
| Doing Business As | KENWOOD PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | DAVID MELVIN KELLEY Chief Executive Officer 718-359-8215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |