| NPI | 1548079593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA MARIE JUSTICE Owner 479-522-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-01-04 |
| Last Update Date | 2025-01-15 |