NPI | 1326442567 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER VIETZE Owner 347-668-4992 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2014-10-17 |
Last Update Date | 2020-06-08 |