NPI | 1316667322 |
---|---|
Doing Business As | TRIVIUM INTEGRATIVE MENTAL HEALTH |
Entity Type | Organization |
Authorized Contact | ALEX WALKER VP Information Technology 712-256-7888 |
Organization Subpart ? | Yes |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TC0700X Psychologist, Clinical | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
1041C0700X Social Worker, Clinical | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2022-08-30 |
Last Update Date | 2024-11-20 |