| NPI | 1245823749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN ALENCIKS Director Of Operations 595-222-4764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2021-02-16 |