| NPI | 1174264600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRECIOUS MONIQUE SPENCER Owner 800-696-7024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2025-04-24 |