NPI | 1417422809 |
---|---|
Entity Type | Organization |
Authorized Contact | TERESA FAIRCHILD PITCHER Founder 607-426-1721 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2018-10-11 |
Last Update Date | 2023-10-18 |