NPI | 1285452375 |
---|---|
Entity Type | Organization |
Authorized Contact | KEYMIAN CRISP Practice Manager 336-510-0653 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-09-28 |
Last Update Date | 2024-10-23 |