| NPI | 1841911963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL TIERNEY Owner 855-675-1849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2024-09-12 |