| NPI | 1174384572 |
|---|---|
| Former Legal Business Name | MOMMIHEALTH PLLC |
| Entity Type | Organization |
| Authorized Contact | JESSICA SCHIFFMAN GAULTON CEO 267-432-4757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-03-03 |