Organization Name: | HOLLY B. CHATAIN, INC. |
NPI Number: | 1235330580 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HOLLY B CHATAIN (PRESIDENT) |
Mailing Address: | 401 N Independence St Harrisonville |
State: | MO US |
Postal Code: | 647011713 |
Phone Number: | 8168842900 |
Fax Number: | |
NPI Enumeration Date: | 05/31/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |