| NPI | 1972291664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DE'EDDA RENAE POWELL CEO/Dnp, Pmhnp Bc 704-819-9079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-06-20 |