| NPI | 1801473673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP SCOTT RICHARDS President 888-330-6277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2021-03-30 |