| NPI | 1487330478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA U. RAGSDALE Owner 346-538-0968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2024-10-24 |