| NPI | 1255796926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIO CANTERO CEO 800-785-8953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 129953) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |