| NPI | 1245910132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIENT SERVICES Client Services 844-429-8732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-25 |