| NPI | 1962278507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY GOLDSON Pmhnp/Nurse Practitioner 606-400-2227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2024-10-01 |