| NPI | 1073283008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL SATONA QUINCE CEO/Owner 772-255-8492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2024-12-19 |