| NPI | 1477343572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA CHARISSA GILLESPIE Pmhnp Bc/Owner 925-249-8539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-05-12 |