An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
ID license #M4860taxonomy 261QM0850X
Identifiers
Type
Value
Notes
01 (ID)
1275642191
NPI
05 (ID)
1275642191
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Medical Consulting Services
Type code 3recorded 2018-05-14
Medical Consulting Services
Type code 3recorded 2017-04-11
Practice context
Single-site organization. Only one practice location on file.
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