| NPI | 1245013770 |
|---|---|
| Doing Business As | MAGNOLIA PSYCHIATRY AND MENTAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE WENZEL CEO/Owner 919-961-1948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 174400000X Specialist | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2024-03-08 |