| NPI | 1346643137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD TYSON Compliamce 980-213-5501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult | |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |