| NPI | 1235694324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE DIANE PARISI Owner 855-949-3551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent | |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2023-12-14 |