| NPI | 1477171387 |
|---|---|
| Other Name | AMG MENTAL HEALTH WILKENS |
| Entity Type | Organization |
| Authorized Contact | JOSEPH WILLIAM COOK President 667-234-2100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |