NPI | 1326736869 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHERINE LYFORD COREY Nurse Practitioner 605-580-7358 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2023-04-24 |
Last Update Date | 2024-02-15 |