| NPI | 1285486936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD REYES CASILANG President 833-559-9559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2024-04-22 |