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 |
Enumeration Date | 2021-06-23 |
Last Update Date | 2021-08-30 |