| NPI | 1255109310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOVANY PIERRE Psychiatric Nurse Practioner 239-380-3728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2024-07-18 |