| NPI | 1073156741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDANCE MARIE GUINN Pmhnp Bc, Ap RN Cnp/Owner 870-814-4113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2020-01-22 |