NPI | 1588853295 |
---|---|
Doing Business As | DBA MOUNTAIN STATES OUTPATIENT BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | JEFFREY N DICE Assistant Vice President 423-431-7060 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2007-10-18 |
Last Update Date | 2007-11-02 |