NPI | 1538725940 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID NIKNAFS Owner 800-829-4933 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
2084A0401X Psychiatry & Neurology Addiction Medicine | |
363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
Enumeration Date | 2019-05-13 |
Last Update Date | 2022-03-29 |