| NPI | 1568136166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT DANIEL SEGAL Md/CEO 888-852-6672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2022-07-22 |