| NPI | 1427757566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA HARRINGTON Employee 662-803-0415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2026-06-01 |