| NPI | 1700548948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORIAH WRIGHT Owner 864-344-1526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2024-03-12 |