| NPI | 1275203275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH DAVIS Executive Director 667-367-8357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2024-02-21 |