| NPI | 1447634415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD O. CARPENTER Organizer 800-843-8216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities |
| Enumeration Date | 2015-07-19 |
| Last Update Date | 2015-07-19 |