| NPI | 1629505300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSON R. KUROSKI-MAZZEI CEO / Cmo 980-859-2106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2023-05-02 |