| NPI | 1851198311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA NEWSOM Pmhnp Bc 833-511-8992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-06-01 |