| NPI | 1629801899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY MICHELLE ALLEN Pmhnp 660-621-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-08-23 |