NPI | 1184213399 |
---|---|
Doing Business As | IMPAVID MENTAL HEALTH, LLC |
Entity Type | Organization |
Authorized Contact | ADRIANA HERNANDEZ Pmhnp 888-382-1897 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-01-12 |
Last Update Date | 2023-03-01 |