| NPI | 1780527325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONOVAN MCGUIRE Business Operations Associate 800-423-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2026-04-09 |
| Last Update Date | 2026-04-09 |