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 Clinic/Center, Mental Health (Including Community Mental Health Center) |
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 |