| NPI | 1821989310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A WOHLWEND Owner, Nurse Practitioner 531-217-5257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-07-11 |
| Last Update Date | 2025-09-13 |