| NPI | 1124593199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELIN JOFFRAY Managing Member/Owner 000-000-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2025-07-29 |