| NPI | 1629765508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLO DELLA RAGIONE Director Of Operations 929-777-0173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-04-20 |