| NPI | 1518741362 |
|---|---|
| Doing Business As | CENTRAL PENINSULA MENTAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JON HAGGERTY CFO 907-714-4722 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2023-11-21 |