| NPI | 1780078386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JOSEPH KELLER Owner/Provider 716-450-3934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 019744) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2018-11-25 |