| NPI | 1952884652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHETT PLAUCHE President 228-865-1330 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |