| NPI | 1174328827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA KATHERINE BATTLES Co Owner 857-380-6833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-04-08 |