NPI | 1740947928 |
---|---|
Doing Business As | PIVOTING MINDS PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | TREVON JARROD FRIAR Owner 386-299-0045 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2021-11-22 |
Last Update Date | 2024-01-31 |