NPI | 1598347288 |
---|---|
Doing Business As | BALANCED MENTAL HEALTH |
Entity Type | Organization |
Authorized Contact | SHANNON BRUEY Owner/Provider 580-984-1115 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-04-22 |
Last Update Date | 2021-04-22 |