| NPI | 1487458857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMPESTT HARPER BUTLER Nurse Practitioner 228-218-7221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-04-03 |