| NPI | 1659500577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY E JACKSON Executive Director 212-564-7631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: NY 012747-1) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2023-08-02 |