| NPI | 1639415367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYSON LINDSEY COLE Psychologist 347-915-3044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 019581-1) |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2012-12-28 |