| NPI | 1801667597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA EPPELE CEO 855-867-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| 207R00000X Internal Medicine | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2025-12-10 |