NPI | 1124791439 |
---|---|
Former Legal Business Name | ETUDE HEALTH MA PC |
Entity Type | Organization |
Authorized Contact | MONA POTTER Chief Medical Officer 615-424-3398 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2021-08-01 |
Last Update Date | 2022-10-25 |