| NPI | 1093534505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY RAINS Owner/Manager 501-305-4068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2024-10-10 |