| NPI | 1063260693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIONNA CRESPO Chief Executive Officer 228-215-5030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-12-05 |