| NPI | 1679292775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA WRIGHT Owner/Operator 712-209-4958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-11-11 |