| NPI | 1306204805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY COHEN National Medical Director 800-348-4565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2023-07-05 |