| NPI | 1134711138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES VARRELL Owner 800-442-8938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-06-10 |