NPI | 1912728650 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDRIEA THOMPSON Owner/Provider 937-369-1841 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor Addiction (Substance Use Disorder) | |
101YM0800X Counselor Mental Health | |
133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management | |
2084P0800X Psychiatry & Neurology Psychiatry | |
261QM1300X Clinic/Center Multi-Specialty | |
363L00000X Nurse Practitioner | |
363LP2300X Nurse Practitioner Primary Care | |
Enumeration Date | 2024-10-23 |
Last Update Date | 2024-10-23 |