| NPI | 1740149152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE DELITA NICHOLSON Owner/Psychiatric Mental Health Np 725-242-4793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-01-21 |
| Last Update Date | 2026-01-21 |