| NPI | 1053360677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA DOOLEY Chief Financial Officer 800-370-3651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| 363AM0700X Physician Assistant, Medical | |
| 363L00000X Nurse Practitioner | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 364SA2200X Clinical Nurse Specialist, Adult Health | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult | |
| 364SP0813X Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2022-07-21 |