| NPI | 1578234506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA JO HAYES Owner Provider 980-705-1620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2023-09-26 |