| NPI | 1821395260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY ZAYAS Account Manager 800-990-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 207Q00000X Family Medicine | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 171100000X Acupuncturist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 207R00000X Internal Medicine | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-04-29 |