| NPI | 1023766631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULANDA RENEE KING Nurse Practitioner 334-300-8687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0813X Clinical Nurse Specialist Psychiatric/Mental Health, Geropsychiatric |
| Enumeration Date | 2022-03-13 |
| Last Update Date | 2022-03-13 |