| NPI | 1356420863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOMI POCKLINGTON Manager, Billing Company 866-602-6822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MT 17403) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2022-07-21 |