NPI | 1356904577 |
---|---|
Doing Business As | MARSHALL PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | KIM SANGUINETTI-WEISHAAR Provider Credentialing 530-626-2770 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2019-04-15 |
Last Update Date | 2019-04-15 |