| NPI | 1548795511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN MCCREA Owner/ Nurse Practitioner 330-407-0089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60580654) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2023-10-20 |