DEEP ROOTS MENTAL HEALTH, LLC
Organization (NPI-2)
Active
Nurse Practitioner, Psych/Mental Health
Provider Information
- NPI Number
1063293678- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 480 S CACHE ST, JACKSON, WY, 830018222
- Phone
- (307) 264-2492
Specialties & Taxonomies
Nurse Practitioner, Psych/Mental Health
Primary
All Addresses
MAILING
PO BOX 7030
JACKSON, WY, 830027030