NPI | 1114740982 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA MARIE HARRELSON Owner, Founder, C RN P 267-307-2276 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-10-31 |
Last Update Date | 2024-10-31 |