NPI | 1073003521 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBETTE R WOODALL Owner 971-240-0498 |
Organization Subpart ? | No |
Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
Additional Taxonomies | 251B00000X Case Management |
251S00000X | |
Enumeration Date | 2018-05-10 |
Last Update Date | 2018-05-10 |