| NPI | 1194925206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN WESCOTT Sr Ins Contracting Specialist 888-464-2466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2023-06-09 |