| NPI | 1891721981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLIN TOZER Chief Of Staff 667-668-2566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 104100000X Social Worker |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2024-11-20 |