NPI | 1528633427 |
---|---|
Entity Type | Organization |
Authorized Contact | KARA HUNTER Owner 269-274-8963 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2021-05-24 |
Last Update Date | 2024-03-13 |