| NPI | 1891753034 |
|---|---|
| Doing Business As | PRACTICE RESOURCES LLC |
| Entity Type | Organization |
| Authorized Contact | ROB BLOOM CFO 315-405-1535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2025-09-02 |