| NPI | 1295474617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA GATHINGS Owner/Psych Nurse Practitioner 662-244-9633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-06-02 |