Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI Number | 1972330637 |
| LBN Legal business name | AFFINITY MENTAL HEALTH SERVICES |
| Authorized official | LARESSA DENT - (LPC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/17/2024 |
| Last updated | 09/17/2024 - More than a year ago |
| Identifiers | n/a |
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