| NPI | 1982482105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DALE SARTEN Owner/Pmhnp 833-226-7624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2023-09-19 |