NPI | 1104402064 |
---|---|
Doing Business As | AFFECT THERAPEUTICS |
Entity Type | Organization |
Authorized Contact | KARLA RENEE MULLINGS Director Of Compliance 323-522-2218 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YP2500X Counselor, Professional | |
1041C0700X Social Worker, Clinical | |
163W00000X Registered Nurse | |
2084A0401X Psychiatry & Neurology, Addiction Medicine | |
261QC1500X Clinic/Center, Community Health | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
363LC1500X Nurse Practitioner, Community Health | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2021-03-22 |
Last Update Date | 2023-04-11 |