NPI | 1063151470 |
---|---|
Doing Business As | PBS PSYCHIATRY LLC |
Entity Type | Organization |
Authorized Contact | ADAM C TRIPP Owner 855-874-7763 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2022-06-02 |
Last Update Date | 2022-06-02 |