| NPI | 1760166128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA YOUNG ZAJAC Sr Director Rev Cycle Ops 857-204-7198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |