| NPI | 1144493248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL HUGH OLSHAN Psychologist 448-556-9903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AZ 429) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2015-10-13 |