NPI | 1821783168 |
---|---|
Entity Type | Organization |
Authorized Contact | VALINA WILLIAMS Owner 662-390-6052 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2023-04-11 |
Last Update Date | 2023-05-03 |