| NPI | 1477242915 |
|---|---|
| Doing Business As | PROVIDENCE FAMILY PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | PATRICK HARMON Owner 336-979-4003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2023-08-02 |