| NPI | 1144732074 |
|---|---|
| Other Name | ALTUM PSYCH |
| Entity Type | Organization |
| Authorized Contact | CYMANDE BAXTER-ROGERS CEO 352-226-3803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 07475223) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 07475223) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-25 |