| NPI | 1295881662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE KAYE CEO 3162-846-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |