| NPI | 1821381526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY J ESTADT Owner 267-304-3414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS016426) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2011-05-27 |