NPI | 1396496683 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL CUTLER CEO 877-391-9710 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
Enumeration Date | 2022-01-18 |
Last Update Date | 2022-03-23 |