| NPI | 1760071252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCI HOOK SEID President/CEO 148-341-5657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-01-11 |