| NPI | 1659189512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA MILFORD Owner 833-688-2274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-12-24 |
| Last Update Date | 2025-07-24 |