| NPI | 1497154298 |
|---|---|
| Doing Business As | INTENTIONAL LIVING |
| Entity Type | Organization |
| Authorized Contact | STEPHEN TERRACCIANO Director/Psychologist 646-478-7682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 015554) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |