| NPI | 1871300038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN THAMES Owner 601-678-1065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2026-04-08 |