| NPI | 1154488658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY W. DAYTON President 917-806-9470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 016654) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |