| NPI | 1750650826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHRON MILWORM President 1718-664-7109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NY 241004-1) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2012-09-04 |