| NPI | 1558099135 |
|---|---|
| Doing Business As | PROMETHEAN BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | JAANA SALONSAARI President 310-750-0532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-10-17 |