| NPI | 1316792799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EHAB S YACOUB CEO 877-515-8113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2025-08-25 |