| NPI | 1265261978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENIA SCARVER Owner 937-689-6912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |