| NPI | 1851002901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM RENAE ENGLISH Psychiatric Nurse Practitioner 980-445-8063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2023-09-05 |