| NPI | 1225625528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA WILLIAMS Authorized Official 229-347-1758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
| 251S00000X | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2023-07-05 |