| NPI | 1588939482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA KENNEDY Psychologist 646-504-3320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 019250) |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2012-03-12 |