NPI | 1598354300 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDI D MORGAN Owner Of Entity 803-201-3078 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-01-15 |
Last Update Date | 2025-01-27 |