| NPI | 1609031632 |
|---|---|
| Doing Business As | PHS OUTPATIENT BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | MITCHELL LOMAX Vice President/CFO 667-234-2926 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC HFD01-0212) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC HFD01-0212) |
| 104100000X Social Worker (Licence: DC HFD01-0212) | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: DC HFD01-0212) | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: DC HFD01-0212) | |
| 101Y00000X Counselor (Licence: DC HFD01-0212) | |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2023-10-20 |