| NPI | 1639690159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYANNA WILLIAMS Owner 844-779-2437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM CNP-03247) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2017-09-18 |