| NPI | 1124563580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H L HIMES Owner/Operator 347-371-0411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 018696) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |