| NPI | 1801446950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY JASINSKI Physician/Psychiatrist 331-215-4180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2025-08-20 |