| NPI | 1255130621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY HIDALGO Managing Member 407-901-7215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-10-17 |