| NPI | 1447081781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIANA JOHNSON Psychiatric Nurse Practitioner 943-888-1824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2025-04-27 |