| NPI | 1548007438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN ANNE MANNING Co Owner 765-234-6463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-09 |