NPI | 1811512387 |
---|---|
Doing Business As | ALAY HEALTH TEAM |
Doing Business As | ALAY PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | BOBBI JO DURST Provider, Owner 262-260-9000 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2020-06-10 |
Last Update Date | 2024-06-14 |