| NPI | 1851426274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIZAR SOUAYAH Medical Director 800-268-1346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL Me 102562) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2009-07-29 |