| NPI | 1598931578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKS B GUMP Vice President 315-342-2558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 013527) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |