| NPI | 1346168911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA DELPHANIA NEWTON Owner 270-872-3650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-07-09 |
| Last Update Date | 2026-08-06 |