| NPI | 1780310391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA GARWIN Practice Manager 888-804-4330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2022-09-24 |