| NPI | 1568687473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM PRICE Owner 800-292-3008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: OH 35051195) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |