NPI | 1790293363 |
---|---|
Entity Type | Organization |
Authorized Contact | NAKIA RENEE LITTLEJOHN CEO 256-239-8984 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 2015023821) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL F0310252) |
Enumeration Date | 2018-01-17 |
Last Update Date | 2018-01-17 |