NPI | 1861001026 |
---|---|
Doing Business As | UPPER ECHELON PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | DAVONNA WILSON Pmhnp 888-508-4068 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2020-07-23 |
Last Update Date | 2023-09-20 |