| NPI | 1669272860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE L BLUME Owner 256-880-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-03-17 |