| NPI | 1700179314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN GORDON Psychologist 718-425-0907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 018807) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-16 |