| NPI | 1790500080 |
|---|---|
| Other Name | PREMIER PSYCH, LLC |
| Entity Type | Organization |
| Authorized Contact | JARED NILE SETH KECK Psychiatric Nurse Practitioner 405-990-8624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-11-20 |