| NPI | 1003663089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIO BRUCETA Clinical Director 954-343-6561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-06-17 |