| NPI | 1023766631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULANDA RENEE KING Nurse Practitioner 334-300-8687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
| Enumeration Date | 2022-03-13 |
| Last Update Date | 2025-03-20 |