| NPI | 1003663857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE PETAL HOPKINSON Owner 929-344-8236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-06-28 |