NPI | 1184257545 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA RAE MORAN CEO 442-222-1108 |
Organization Subpart ? | No |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health |
Enumeration Date | 2020-02-13 |
Last Update Date | 2020-02-13 |