| NPI | 1962288241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASEY DEAN Owner, Nurse Practitioner 725-500-6974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2025-07-16 |