| NPI | 1912598046 |
|---|---|
| Other Name | SOUTH COUNTY MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | MADRONE PHOENIX Owner 401-297-0692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2022-10-13 |