A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Community/Behavioral Health |
251S00000X | |||
Mental Health |
101YM0800X | |||
Prescribing (Medical) |
103TP0016X | 62 | Psychologist, Clinical | |
Professional |
101YP2500X | |||
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner |
| NPI # | 1508136490 |
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| LBN Legal business name | HOPE ADVANCEMENT INC. | ||||||||
| Authorized official | DEMETRIUS CRAYTON - (CEO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 01/09/2012 | ||||||||
| Last updated | 01/11/2012 - About 14 years ago | ||||||||
| Identifiers |
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