| NPI | 1053509315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE KEEGAN President 772-345-3056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 1564272) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2009-06-11 |