| NPI | 1821645367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRWIN MARC LENEFSKY CEO 917-414-8676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-08-20 |