| NPI | 1972464618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN BURNS Nurse Practioner 373-240-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-11-21 |
| Last Update Date | 2025-11-21 |