| NPI | 1376184168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN D THEBO Owner Of Entity 888-909-8676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2023-07-06 |