| NPI | 1801667597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA EPPELE CEO 855-867-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TF0000X Psychologist Family | |
| 103TP0016X Psychologist Prescribing (Medical) | |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent | |
| 167G00000X Licensed Psychiatric Technician | |
| 2084P0301X Psychiatry & Neurology Brain Injury Medicine | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2025-04-25 |