| NPI | 1366267213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA M CARNEY President 754-704-6183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry |
| Enumeration Date | 2024-11-16 |
| Last Update Date | 2024-11-16 |