| NPI | 1487112801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI E. KOLIN Authorized Official 877-959-8180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2025-02-04 |