| NPI | 1881031698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT DANIEL SEGAL CEO 888-852-6672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 207Q00000X Family Medicine | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2025-10-03 |