| 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, Psych/Mental Health, Adult | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P0805X | |
| 2084N0600X | |
| 164W00000X Licensed Practical Nurse | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2016-08-30 |