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 |