| NPI | 1629392287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURT SMOOT Owner/Office Manager 800-963-9188 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |