NPI | 1104451053 |
---|---|
Entity Type | Organization |
Authorized Contact | MELANIE MORRISON Authorized Official 606-657-5912 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2020-03-10 |
Last Update Date | 2020-12-23 |