| NPI | 1871296723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTALA CHERRY Owner 848-863-8548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2023-03-22 |