| NPI | 1386250975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN STRONG CEO 888-882-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 364SC2300X Clinical Nurse Specialist, Chronic Care | |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2021-10-23 |