NPI | 1316660541 |
---|---|
Other Name | WILLOW'S TREE BEHAVIORAL HEALTH, PLLC |
Entity Type | Organization |
Authorized Contact | ALICIA S ALLEN CEO/Founder 904-977-5098 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2022-09-22 |
Last Update Date | 2022-11-14 |