| NPI | 1457586521 |
|---|---|
| Doing Business As | PCMH |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE VERNON TUCKER CEO/Director 800-678-3127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A84067) |
| Additional Taxonomies | 2084P0805X (Licence: CA A84067) |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CA A84067) | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA A84067) | |
| 2084H0002X Psychiatry & Neurology, Hospice and Palliative Medicine (Licence: CA A84067) | |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2010-10-28 |