| NPI | 1124299441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE WILGOREN President 561-504-0455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2945742) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2011-05-26 |