| NPI | 1770024119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN ANNELLE MAURER Corporate Secretary 888-984-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2017-03-18 |
| Last Update Date | 2017-03-18 |