NPI | 1225744717 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSIE ALEX Nurse Practitioner/Owner 641-777-9655 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-01-27 |
Last Update Date | 2023-02-13 |