| NPI | 1295503530 |
|---|---|
| Other Name | OLIVE VIEW: MENTAL HEALTH PROFESSIONAL BILLING |
| Entity Type | Organization |
| Authorized Contact | KONITA LEE WILKS Chief Executive Officer 747-210-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2023-12-15 |