in - Mental Health (including Community Mental Health Center)

- NPI 1235348715

is a Mental Health (including Community Mental Health Center) in , . practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for is 1235348715. The last update date is .

's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!

Provider Profile Detail

Provider Name
Address , ,
Phone Number
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1235348715
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address
City
State ()
Post Code
Phone Number
Fax Number

Provider's Primary Taxonomy Detail

Speciality Mental Health (including Community Mental Health Center)
Taxonomy 261Qm0801X
Licence No 55
Definition:
Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10931 PR SSS

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