| NPI | 1225248404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL SCOT LEVY Owner 212-439-4664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 012806) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |