| NPI | 1770350316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANTLEY CATLETTE Owner/Nurse Practitioner 662-233-9033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2023-12-05 |