| NPI | 1245165026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NERILENE LEENA BALLARD Owner 954-800-5133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-06-15 |
| Last Update Date | 2026-06-15 |