| 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 |