Organization Name: | PSYCH TOTAL CARE LLC |
NPI Number: | 1356600316 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID KALKSTEIN (OWNER) |
Mailing Address: | 18947 John J Williams Hwy Ste 210 Rehoboth Beach |
State: | DE US |
Postal Code: | 199714474 |
Phone Number: | 3024787981 |
Fax Number: | 3024787393 |
NPI Enumeration Date: | 05/11/2012 |
NPI Last Update Date: | 05/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084B0040X |
License Number: | C10005516 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Behavioral Neurology & Neuropsychiatry |
Taxonomy Definition: | Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |