| NPI | 1639831225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B WEISS President And Secretary 844-291-4535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2021-10-29 |