NPI | 1285446864 |
---|---|
Entity Type | Organization |
Authorized Contact | BILLIE J MILLER Contracting Director 725-206-5520 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2025-01-22 |
Last Update Date | 2025-01-22 |