| NPI | 1184473977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL BOYLE Director, Rev Cycle Management 737-600-6039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-15 |