NPI | 1790325694 |
---|---|
Doing Business As | ELYSIAN HEALTH PARTNERS |
Entity Type | Organization |
Authorized Contact | TONY ANGELO President / Principle 707-395-4500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
251S00000X | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2020-01-09 |
Last Update Date | 2020-01-09 |