| NPI | 1629936349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH TISSER Nurse Practitioner/Owner 224-306-9464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-01-12 |
| Last Update Date | 2026-01-12 |