| NPI | 1164286092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA KOVACS Owner 833-719-0886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103T00000X Psychologist |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |