| NPI | 1073179123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LEONARD President 855-940-4867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2025-02-06 |