NPI | 1821731548 |
---|---|
Doing Business As | INNOVATEL MEDICAL |
Entity Type | Organization |
Authorized Contact | ROBERT WILSON President 866-492-7597 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2022-04-20 |
Last Update Date | 2023-06-13 |