| NPI | 1780735407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE HEROLD CEO 267-893-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251B00000X Case Management | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 261Q00000X Clinic/Center | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 251K00000X Public Health or Welfare | |
| 101YM0800X Counselor, Mental Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 103TC0700X Psychologist, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 171M00000X Case Manager/Care Coordinator | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2026-04-27 |