| NPI | 1659940823 |
|---|---|
| Doing Business As | VANESSA GRAHAM NP |
| Entity Type | Organization |
| Authorized Contact | VANESSA GRAHAM Owner 980-483-3015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 363L00000X Nurse Practitioner | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2022-07-18 |