| NPI | 1891440228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY HALANSKI CEO 877-644-6008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2024-05-15 |