| NPI | 1457709818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA A MOYNIHAN Owner 888-616-8536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: CT 001038) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-06-13 |