NPI | 1245833565 |
---|---|
Doing Business As | WALNUT CREEK PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | HILLARY CHIDESTER Office Manager 515-368-7504 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2020-11-19 |
Last Update Date | 2024-08-14 |