| NPI | 1730929761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA VASKELIS CFO 857-997-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-05-28 |