NPI | 1083471601 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA HOLLANDER Care Operations Manager 888-729-1971 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2024-02-29 |
Last Update Date | 2024-02-29 |