NPI | 1487310256 |
---|---|
Entity Type | Organization |
Authorized Contact | REGINA ROSE HUDSON DE CORONA Sole Member 205-960-5208 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-11-16 |
Last Update Date | 2021-11-16 |