NPI | 1699490029 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY HALASNKI President 341-888-7637 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-10-07 |
Last Update Date | 2022-10-07 |