| NPI | 1659241412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE ELIZABETH REICHERT Psychiatric Nurse Practitioner 662-536-6253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-11-07 |
| Last Update Date | 2025-11-11 |