NPI | 1578229365 |
---|---|
Entity Type | Organization |
Authorized Contact | BARRETT DWYER Chief Financial Officer 888-224-7332 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
Enumeration Date | 2021-11-16 |
Last Update Date | 2024-11-13 |