| NPI | 1275355596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBRAHIM ALSHERIEF Medical Director 848-219-1602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-28 |