| NPI | 1669619342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA IANNELLI CORREA President 888-531-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2011-03-09 |