| NPI | 1801686167 |
|---|---|
| Doing Business As | TATUM D. TEEPLE, MS, MLP |
| Entity Type | Organization |
| Authorized Contact | TATUM DAYE TEEPLE Sole Member 567-525-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2025-05-09 |
| Last Update Date | 2025-05-09 |