| NPI | 1265299762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA KATHLEEN VAHOVIUS Owner 334-546-2973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2024-03-01 |