| NPI | 1245836287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEBYTHO TIMOTHE Managing Member 862-684-0895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2020-12-07 |