NPI | 1053369470 |
---|---|
Other Name | VERICARE |
Entity Type | Organization |
Authorized Contact | MELISSA KING Director, Credentialing Enrollment 800-370-3651 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2006-05-05 |
Last Update Date | 2017-07-10 |