| NPI | 1376304063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANDI W FORTIER Psychiatric Mental Health Np 864-208-9501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-04-21 |