| NPI | 1093367633 |
|---|---|
| Doing Business As | INNOVATIVE BEHAVIORAL MEDICINE LLC |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J GOISSE CFO 724-984-8645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-07-13 |
| Last Update Date | 2019-07-13 |