| NPI | 1992552947 |
|---|---|
| Other Name | MENTAL HEALTH DIAGNOSTICS AND TELEPRESCRIBING |
| Entity Type | Organization |
| Authorized Contact | JAMES RICHARD ACUP Owner/Incorporator/Organizer 870-373-1514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-06-06 |