| NPI | 1306609128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ANN TYLER Pmhnp Bc 270-982-0855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2025-11-05 |