NPI | 1184438350 |
---|---|
Entity Type | Organization |
Authorized Contact | VERONA ESTELLA HAUGHTON Owner 321-244-7067 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2025-02-06 |
Last Update Date | 2025-08-15 |