| NPI | 1528770633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJPATI ENA BODH-CERES Owner 931-676-7249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2022-12-20 |