| NPI | 1174066401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DENNIS President 917-743-5439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME124694) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |