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 |