| NPI | 1962986398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWNYA DAWN PEERY Pmhp Bc 580-222-8680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2021-08-19 |