| NPI | 1760051825 |
|---|---|
| Other Name | ICU MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | DEMETRIUS SMITH Owner 251-545-9659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 251B00000X Case Management | |
| 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 | 2021-06-23 |
| Last Update Date | 2025-01-08 |