| NPI | 1659966976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J. VOSCOPOULOS Owner/President 888-885-2336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 174400000X Specialist | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2021-03-08 |