| NPI | 1376064600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ALAN BOSKIND CEO Owner 210-615-3483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CO DR.0058661) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2019-04-24 |