| NPI | 1285394080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LOUISE PERKINS Owner 725-221-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2024-06-25 |