| NPI | 1700471133 |
|---|---|
| Doing Business As | ROBINWILD INTEGRATED MEDICINE LLC |
| Entity Type | Organization |
| Authorized Contact | TIFFANI WILDER CFO 678-651-4022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TF0000X Psychologist, Family | |
| 103TP0016X Psychologist, Prescribing (Medical) | |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2021-03-08 |