| NPI | 1689866097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LONGMUIR Billing Manager 800-831-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WA MD00018680) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2009-06-17 |