| 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 |