| NPI | 1003404575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDANA HOLLEN Co Founder 877-422-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-01-09 |
| Last Update Date | 2021-01-09 |