| NPI | 1689148389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT HERNANDEZ Medical Director 800-675-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2021-08-17 |