| NPI | 1063302453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARYN BLAIR Owner/Authorized Official 305-721-0748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-07 |