| NPI | 1265127187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIEW LAI Director Of Partnerships 855-509-0881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2023-04-17 |