| NPI | 1669063319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RISE ELIZABETH MITCHELL Owner 531-203-5928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2026-03-09 |