| NPI | 1831662196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSON R. KUROSKI-MAZZEI CEO & Chief Medical Officer 980-859-2106 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology Addiction Psychiatry |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2025-07-01 |