| NPI | 1508045402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDEE L SILBERFELD Biller 800-650-6334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2007-10-26 |