NPI | 1114790078 |
---|---|
Entity Type | Organization |
Authorized Contact | CHYLLIA DIXON Owner, Pmhnp 809-495-7004 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Enumeration Date | 2023-11-02 |
Last Update Date | 2024-01-09 |