| NPI | 1497528707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MITCHELL Owner 774-300-3422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2025-05-22 |