NPI | 1942938493 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY HALANSKI Md 877-644-6008 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-08-11 |
Last Update Date | 2023-06-15 |