| NPI | 1881245231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE GUCHEREAU CEO 833-931-1716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 363AM0700X Physician Assistant, Medical | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2023-08-09 |