| NPI | 1710867981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE WINZENBURG Owner 865-214-7343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-09-06 |
| Last Update Date | 2025-09-06 |