NPI | 1013757525 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH DAVIS Executive Director 667-367-8357 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-05-31 |
Last Update Date | 2024-08-28 |