NPI | 1922547900 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMIE MOLDOVAN FRIEDMAN Chief Executive Officer 267-388-0670 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS017395) |
Enumeration Date | 2017-02-23 |
Last Update Date | 2024-01-17 |