| NPI | 1861027401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS WOODS CEO 888-544-5553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103K00000X Behavior Analyst | |
| 103T00000X Psychologist | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 104100000X Social Worker | |
| 163W00000X Registered Nurse | |
| 171M00000X Case Manager/Care Coordinator | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-10-07 |