| NPI | 1356854566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN LEE CASEY Owner 844-345-2256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 103TC1900X Psychologist, Counseling | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 363A00000X Physician Assistant | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2024-09-27 |