| NPI | 1659260958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIDOMER E FRANCIA CEO 866-883-6282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-07-01 |