| NPI | 1831590397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CALLAHAN Medical Director 347-585-0097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME 119927) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |