| NPI | 1639375199 |
|---|---|
| Doing Business As | PROVIDENCE PSYCHIATRIC CONSULTS |
| Entity Type | Organization |
| Authorized Contact | JEREMY W. WHITAKER Manager 806-865-4798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: SC 19523) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2008-04-29 |