| NPI | 1841909157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA GERDES Practice Owner 844-488-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| 101YM0800X Counselor, Mental Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 171M00000X Case Manager/Care Coordinator | |
| 261Q00000X Clinic/Center | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2025-09-22 |