| NPI | 1255004669 |
|---|---|
| Former Legal Business Name | GOOD SHEPHERD PSYCHIATRIC CONSULTANT, INC |
| Entity Type | Organization |
| Authorized Contact | URMENE PIERRE Administrator 954-822-2754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2021-07-30 |