NPI | 1609412154 |
---|---|
Entity Type | Organization |
Authorized Contact | CRYSTAL DAWN WHITEHOUSE Ap RN, Owner 270-315-7208 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2019-11-19 |
Last Update Date | 2021-01-27 |