| NPI | 1235882564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIMYS VIGIL Owner 786-589-1291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2024-05-15 |