| NPI | 1225078629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY SHAPIRO Chief Executive Officer 866-325-5434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2009-02-27 |