| NPI | 1477012813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LEONARD President 855-711-4867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2025-04-08 |