| NPI | 1528791258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN BJERRE REAL Owner 984-244-4926 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine |
| Enumeration Date | 2022-07-09 |
| Last Update Date | 2024-03-05 |