| NPI | 1093191322 |
|---|---|
| Doing Business As | PSYCH360 |
| Entity Type | Organization |
| Authorized Contact | BRIAN NICHOLS SVP 330-536-3746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2024-10-30 |