NPI | 1942846506 |
---|---|
Entity Type | Organization |
Authorized Contact | EMILY ERIN HENSLEY Owner 308-237-0391 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Enumeration Date | 2019-11-19 |
Last Update Date | 2020-01-07 |