NPI | 1396516977 |
---|---|
Doing Business As | MAVIDA HEALTH |
Entity Type | Organization |
Authorized Contact | SARAH ORECK CEO/Psychiatrist 628-432-7476 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2024-01-11 |
Last Update Date | 2024-09-18 |