| NPI | 1386215705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS ALBAUGH Administrator 667-367-8357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2023-02-13 |