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 | 1041C0700X Social Worker, Clinical |
171M00000X Case Manager/Care Coordinator | |
2084A0401X Psychiatry & Neurology, Addiction Medicine | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2022-11-16 |
Last Update Date | 2022-11-16 |