| NPI | 1043845373 |
|---|---|
| Doing Business As | IVY COLLABORATIVE HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | JOCELYN KELLY BAYLISS Authorized Official 706-364-3461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2024-05-07 |