| NPI | 1255993325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRANDEN BULS Owner/Licensed Clinical Psychologis 914-426-3930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2019-06-28 |