An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
taxonomy 261QM0850X
Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family...
taxonomy 261QM0855X
Identifiers
Type
Value
Notes
01
1225577471
TYPE 1 NPI
Practice context
Multi-provider organization.
2 individual providers on file at this primary address.
Plus 1 secondary practice location.
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