| NPI | 1760747273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA EPPELE President 855-867-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |