| NPI | 1457093908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON E REID Mental Health Nurse Practitioner 640-204-0328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2024-03-13 |