| NPI | 1619722931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESARETA JONES Managing Member 704-609-5288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-04-19 |