| NPI | 1689332876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARISA ROLLINS KING Nurse Practitioner/Owner 743-229-3412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-12-04 |
| Last Update Date | 2025-07-09 |