NPI | 1477003028 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANNIE EVANS Co Founder 228-284-4651 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 901783) |
Enumeration Date | 2016-10-06 |
Last Update Date | 2022-07-21 |