| NPI | 1487976742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY W WELLES President 914-937-6174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 016488) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2014-05-13 |