| NPI | 1427375187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERINN M. BEEKMAN President 888-311-1254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2011-12-14 |