| NPI | 1851844898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE ELLEN CLIFFORD Sole Mbr Owner 228-860-4471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |