| NPI | 1245036565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE ONIFADE Administrator 954-478-6577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-02-19 |