| NPI | 1114613908 |
|---|---|
| Other Name | I HAVE NO COMPANY |
| Entity Type | Organization |
| Authorized Contact | MARY BLAKE Owner 704-578-8041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2024-04-23 |