| NPI | 1386366649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY CHEREE BUCKNER CEO/Owner 270-306-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2023-05-23 |