| NPI | 1992725899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK TREVELYAN GREY President 585-292-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 7583) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |