NPI | 1750921870 |
---|---|
Entity Type | Organization |
Authorized Contact | REBEKAH MOORE Pmhnp Bc, Fnp C 812-369-4344 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2020-01-07 |
Last Update Date | 2022-11-16 |