| NPI | 1386404077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY CRISS Psychiatric Nurse Practitioner 478-454-7343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |