NPI | 1659705382 |
---|---|
Former Legal Business Name | JOHN C. LINCOLN, LLC |
Doing Business As | JOHN C LINCOLN BEHAVIORAL MEDICINE |
Entity Type | Organization |
Authorized Contact | SAVAS PETRIDES SVP CEO 480-696-4020 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Enumeration Date | 2013-08-29 |
Last Update Date | 2020-09-17 |