| NPI | 1124340203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY W. WELLES President 914-937-6174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging (Licence: CT 2657) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2011-10-27 |