| NPI | 1184781072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN S COHEN Owner 302-292-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: DE C10004287) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-18 |