| NPI | 1215523980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY CHATELIER-ORELUS CEO 888-307-2199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2024-01-31 |