Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner |
| NPI Number | 1396493367 |
| LBN Legal business name | AUTUMN SUN MENTAL HEALTH |
| Authorized official | LAURA TURK - (OWNER/PROVIDER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/17/2022 |
| Last updated | 07/27/2022 - About 4 years ago |
| Identifiers | n/a |
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