NPI | 1083455992 |
---|---|
Doing Business As | AQUAMIND PSYCH |
Entity Type | Organization |
Authorized Contact | ROSA CRUZ KAUFFMAN Owner 404-406-2763 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-06-04 |
Last Update Date | 2024-06-04 |