NPI | 1124680699 |
---|---|
Doing Business As | KIDS, INC. |
Entity Type | Organization |
Authorized Contact | MICHELLE AMBER HARDENBROOK Pmhnp Bc 971-727-8154 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2019-07-03 |
Last Update Date | 2023-07-17 |