| NPI | 1518796929 |
|---|---|
| Doing Business As | DANA THOMPSON |
| Entity Type | Organization |
| Authorized Contact | DANA THOMPSON President 022-870-6566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-01 |