NPI | 1639799216 |
---|---|
Entity Type | Organization |
Authorized Contact | IRWIN LENEFSKY CEO 917-414-8676 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
103TC1900X Psychologist, Counseling | |
103TF0000X Psychologist, Family | |
Enumeration Date | 2020-04-23 |
Last Update Date | 2020-04-23 |