NPI | 1598236283 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLENE MACMILLAN Co Owner 929-227-6577 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-12-06 |
Last Update Date | 2023-05-23 |