| 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 |