| NPI | 1265201222 |
|---|---|
| Doing Business As | ELIEZER MENTAL HEALTH NURSING SERVICES |
| Entity Type | Organization |
| Authorized Contact | MARIA DELIA DEJARME FORTUNATO Provider 213-377-0012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult | |
| Enumeration Date | 2024-01-01 |
| Last Update Date | 2025-09-30 |