| NPI | 1104703263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANA HAIGHT Member 561-560-9927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-08-20 |
| Last Update Date | 2025-08-26 |