| NPI | 1780090910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW BENJAMIN HARRIS Entity Owner 197-338-6715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 284300000X Special Hospital |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2025-03-07 |