| NPI | 1013855360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA PRICE Nurse Practitioner 270-705-6675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-03-24 |
| Last Update Date | 2026-03-24 |