| NPI | 1124253075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY COHEN National Medical Director 800-348-4565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2018-12-20 |