| NPI | 1881167583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY STEPHEN SANDERS President/CEO 347-762-8755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |