NPI | 1003501313 |
---|---|
Entity Type | Organization |
Authorized Contact | SCHERRA BOARMAN Pmhnp Bc 667-298-6361 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2023-04-11 |
Last Update Date | 2023-04-18 |