| NPI | 1780403253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILEE J MCCLEEREY Psych Nurse Practitioner/Owner 000-000-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2024-10-10 |