| NPI | 1255158762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONDRA LESHEA BOBBITT Owner 346-443-4686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2025-12-29 |