NPI | 1316767346 |
---|---|
Entity Type | Organization |
Authorized Contact | COURTNEY LARCHELLE HOUSTON Owner And Co Founder 501-256-2885 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-10-15 |
Last Update Date | 2024-10-15 |