| NPI | 1174732473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK MESTECKS Accounts Mgr 718-206-6821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |