NPI | 1124644166 |
---|---|
Entity Type | Organization |
Authorized Contact | STACY COHEN Psychiatrist 424-532-1552 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
Enumeration Date | 2020-06-24 |
Last Update Date | 2020-06-24 |