NPI | 1033361845 |
---|---|
Doing Business As | IHS |
Entity Type | Organization |
Authorized Contact | ANDRES MUNOZ-BUSTAMANTE Psychologist 413-320-4118 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MA 204120) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 8148) |
103TC0700X Psychologist, Clinical (Licence: MA 8152) | |
1041C0700X Social Worker, Clinical (Licence: MA 111347) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NM MD2004-0539) | |
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MA 236837) | |
Enumeration Date | 2008-10-13 |
Last Update Date | 2020-10-26 |