| Organization Name: | NORTHLAND PYSCHIATRIC SPECIALISTS, LLC |
| NPI Number: | 1023067089 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TODD PRESTON HILL (MANAGING PARTNER) |
| Mailing Address: | 5400 N Oak Trfy Building 1, Suite 115 Gladstone |
| State: | MO US |
| Postal Code: | 641184688 |
| Phone Number: | 8164536777 |
| Fax Number: | 8164543601 |
| NPI Enumeration Date: | 05/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |