Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health, Community |
364SP0812X | 89 | Certified Clinical Nurse Specialist |
| NPI Number | 1235074618 |
| LBN Legal business name | WHIGHAM LEGACY TRUST |
| Authorized official | CHRISTOPHER WHIGHAM - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/21/2026 |
| Last updated | 04/25/2026 - About 1 months ago |
| Identifiers | n/a |
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