NPI | 1104646116 |
---|---|
Doing Business As | STOWE BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | KAITLYN MCMILLIAN Co Owner 470-410-8784 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2024-10-14 |
Last Update Date | 2024-10-14 |