| NPI | 1437833779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMID DJALILIAN Chief Medical Advisor 866-551-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0301X Psychiatry & Neurology Brain Injury Medicine |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |