NPI | 1427693944 |
---|---|
Doing Business As | GREEN SPOT WELLBEING LLC |
Entity Type | Organization |
Authorized Contact | MARTHA P CATLETTE Psych Mh Nurse Practitioner 662-207-8595 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-11-07 |
Last Update Date | 2019-11-07 |