NPI | 1700530854 |
---|---|
Doing Business As | ERA OF RESTORATION MENTAL HEALTH SERVICES, LLC |
Entity Type | Organization |
Authorized Contact | HEATHER O'NEAL Administrative Manager 425-670-0280 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-02-08 |
Last Update Date | 2022-12-23 |