| NPI | 1861370280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN BEACH Owner 769-242-0087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-08-25 |