| NPI | 1740988146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY LINN Owner/Practitioner 570-506-4449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-02-23 |