| NPI | 1962129866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD PALMER THOMPSON Nurse Practitioner In Psychiatry 251-406-2269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2022-10-21 |