| NPI | 1194671065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENCIA EMILE Managing Member 000-000-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-03-04 |
| Last Update Date | 2026-04-01 |