| NPI | 1487312559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYISHA PARSHA Co Owner 531-444-1963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2023-12-05 |