| NPI | 1285196360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRINCESS NELL BYRD CEO 478-551-4203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-11-16 |