NPI | 1154139202 |
---|---|
Doing Business As | GREEN PEACOCK PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | KERI KENDALL Pmhnp 214-797-8020 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2024-12-20 |
Last Update Date | 2024-12-20 |