| NPI | 1457867053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW KILTHAU President 646-397-9014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 276841) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2017-12-18 |