Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Mental Health |
101YM0800X | |||
Substance Abuse Treatment, Children |
3245S0500X |
| NPI Number | 1821468794 |
||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | Not specified | ||||||||
| Enumeration date | 10/04/2015 | ||||||||
| Last updated | 04/21/2026 - About 2 months ago | ||||||||
| Identifiers |
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MASHONE PARKER WRIGHT
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