NPI | 1083179329 |
---|---|
Entity Type | Organization |
Authorized Contact | TERES CHANDLER Owner 662-295-7520 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251J00000X Nursing Care |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2019-01-31 |
Last Update Date | 2023-10-25 |