| NPI | 1487181244 |
|---|---|
| Other Name | ST. AGNES MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | WILLIAM B HIGGINBOTHAM President/CEO 667-234-3162 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-10-12 |