NPI | 1194228114 |
---|---|
Doing Business As | MERCYLAND PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | ADEBOWALE MOFIKOYA Medical Director 802-399-9114 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WI 60574-20) |
Enumeration Date | 2018-03-15 |
Last Update Date | 2018-05-07 |