| NPI | 1104570233 |
|---|---|
| Doing Business As | SOUTHERN OASIS BH, LLC |
| Entity Type | Organization |
| Authorized Contact | LUIZA ASAHME Provider/Owner 917-669-8305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-02-08 |