| NPI | 1427745389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY PAUL FOX CEO And President 888-666-5254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health |
| 363LF0000X Nurse Practitioner Family | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2024-03-08 |