| NPI | 1740836980 |
|---|---|
| Doing Business As | PSYCHIATRY & SUBSTANCE ABUSE TREATMENT |
| Entity Type | Organization |
| Authorized Contact | ALLISON SIKORSKY Owner 866-297-7792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2023-02-25 |