NPI | 1649924085 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER DENNIS Owner 888-515-3834 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
1041C0700X Social Worker, Clinical | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
363A00000X Physician Assistant | |
Enumeration Date | 2022-02-04 |
Last Update Date | 2023-01-20 |