| 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 |