| NPI | 1013129220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA DOOLEY CFO 800-370-3651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 1041C0700X Social Worker Clinical | |
| 363LG0600X Nurse Practitioner Gerontology | |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363A00000X Physician Assistant | |
| 364SG0600X Clinical Nurse Specialist Gerontology | |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry | |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology | |
| 164W00000X Licensed Practical Nurse | |
| 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult | |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2016-08-30 |