| NPI | 1720825201 |
|---|---|
| Doing Business As | FIRESIDE PSYCHIATRY, LLC |
| Entity Type | Organization |
| Authorized Contact | RICHARD EDMUND MITCHELL Psychiatrist/CEO 406-616-6503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-07-13 |