| NPI | 1447203963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA DOOLEY CFO 800-370-3651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 103TC0700X Psychologist, Clinical | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2016-08-30 |