| 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 |