| NPI | 1235957945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYTISSUE ALLEN Owner, Registered Nurse 334-440-9975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |