| NPI | 1881475200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH NIESE Nurse Practitioner/Owner 740-391-0870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-11 |