NPI | 1427325083 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNY ZAYAS Account Manager 800-990-0340 |
Organization Subpart ? | No |
Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2011-11-28 |
Last Update Date | 2012-02-21 |