NPI | 1104352343 |
---|---|
Entity Type | Organization |
Authorized Contact | KYON HOOD President 855-224-7315 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
208000000X Pediatrics | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
208D00000X General Practice | |
101Y00000X Counselor | |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional | |
103T00000X Psychologist | |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
133V00000X Dietitian, Registered | |
207N00000X Dermatology | |
Enumeration Date | 2017-05-09 |
Last Update Date | 2022-08-17 |