| NPI | 1457651614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS JOHN VAN DER HEIDE President 212-920-5228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 131230) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |