| NPI | 1245286285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE L HAMIL CEO 888-573-7792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 103G00000X Clinical Neuropsychologist | |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2022-02-22 |