| NPI | 1093645343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA GARCIA Owner 262-246-2767 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2026-05-20 |
| Last Update Date | 2026-05-20 |