| NPI | 1558141606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A SPIVEY Owner 931-345-3968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-10 |