| NPI | 1255908026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALECIA WHITE Owner/Operator 931-371-7125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2021-06-14 |