| NPI | 1649098492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRIA P BROWN Owner 618-422-4989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2025-07-02 |