| NPI | 1679716054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDY LOPEZ-WILLIAMS Director/Clinical Psychologist 315-732-3431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY P68563) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2009-04-14 |