| NPI | 1154528867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT MITCHELL Clinical Director 914-686-6891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 013089-1) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 014915-1) |
| 104100000X Social Worker (Licence: NY R022413-1) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |