| NPI | 1407726839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARISE ALICIA MARTI Psychiatric Nurse Practitioner 913-800-0839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-11-10 |
| Last Update Date | 2025-11-10 |