| NPI | 1295342046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH RAY CEO/Founder 567-208-0581 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 374T00000X Religious Nonmedical Nursing Personnel |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |