NPI | 1619544988 |
---|---|
Doing Business As | PRUDENT TELEPSYCHIATRY CARE |
Entity Type | Organization |
Authorized Contact | FELISTA ANUGOM President 866-214-7214 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-06-07 |
Last Update Date | 2024-05-10 |