| NPI | 1023844255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXINE REEVES DAVIS Nurse Practitioner 305-336-2162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2024-09-13 |