| NPI | 1619560174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA JENKINS Psychiatric Mental Health Nurse 980-875-7263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2021-02-16 |