| NPI | 1174960231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BENDER Director 212-203-9792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 018111) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |