| NPI | 1134413685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE BURTON President 786-300-5776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2023-11-29 |