| NPI | 1093496176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA SALAZAR CASEY Managing Member 731-661-1903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-07-31 |