| 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 |