| NPI | 1225825490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY COYLE Psychiatric Nurse Practitioner 551-288-6543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-08-08 |