| NPI | 1659622710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL CABISUDO Partner 866-931-9812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry (Licence: NY 087626) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-09-28 |