| NPI | 1871949719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN GALLAGHER Psychologist/Owner 267-847-9560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |