| NPI | 1588288328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LAVONNE KEARNS Clinical Nurse Specialist/Owner 855-931-4913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult |
| Enumeration Date | 2020-06-07 |
| Last Update Date | 2020-07-31 |