| NPI | 1558767582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C KLEIN Executive Director 646-418-1172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 017776-1) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |