| NPI | 1831505262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY TITUS President 888-504-4074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 19926.0821) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2019-05-30 |