| NPI | 1063269991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDA RICHERT VP Revenue Cycle Operations 800-905-3261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2025-09-19 |