| NPI | 1609058809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA ADDO Executive Director 917-755-6976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 013403) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |