| NPI | 1891477501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STASHA NICOLE HAMPTON Owner, Healthcare Provider 629-888-4161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-09-07 |