| NPI | 1861253874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DE'LISE M MCKAY Owner/Psychiatric Np 228-234-9044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-05-14 |