| NPI | 1518149061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD BANKS President/CEO 267-679-2215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PA 015203) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2007-11-27 |