| NPI | 1811074859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY GRAY EVP, CFO & Cro 800-348-4565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-12-19 |