| NPI | 1114348794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA DAVEY Psychologist 718-268-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL MH 10313) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 10313) |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2014-09-18 |