| NPI | 1194332510 |
|---|---|
| Doing Business As | MONUMENT TELEHEALTH GROUP |
| Entity Type | Organization |
| Authorized Contact | JULIA CROUSE Insurance Operations Manager 646-960-3553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2023-05-31 |