NPI | 1235717562 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY MCCLINTOCK Compliance Officer 866-374-6628 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
Enumeration Date | 2021-03-30 |
Last Update Date | 2022-04-05 |