| NPI | 1528667862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ANANGA Office Manager 256-374-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2023-07-26 |