| NPI | 1376162263 |
|---|---|
| Doing Business As | WHITE PINE MENTAL HEALTH & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | KATHRYN WERNER Physician Assistant 731-437-1993 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-04-10 |