Organization Name: | CORINTHIAN DOCTORS GROUP INC |
NPI Number: | 1063734432 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE BRIGGS (DIRECTOR) |
Mailing Address: | 130 Jfk Dr Suite 138b Atlantis |
State: | FL US |
Postal Code: | 334621141 |
Phone Number: | 8009900340 |
Fax Number: | 9542524371 |
NPI Enumeration Date: | 02/25/2010 |
NPI Last Update Date: | 02/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TP2701X |
License Number: | ME71448 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Group Psychotherapy |
Taxonomy Definition: |