| NPI | 1003504671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATACHA WHEELER Psychiatric Nurse Practitioner 667-290-5077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |