| NPI | 1528557154 |
|---|---|
| Doing Business As | ASSURANCE THERAPEUTIC OUTREACH |
| Entity Type | Organization |
| Authorized Contact | PAIGE ELIZABETH DUSTMANN Compliance Manager 346-842-0424 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2023-11-30 |