| NPI | 1487508909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA VAUGHN GIVENS Owner 667-275-4491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| Enumeration Date | 2026-02-23 |
| Last Update Date | 2026-02-23 |