| NPI | 1265699854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A SUSAN NELSON Clinical Nurse Specialist 772-692-3140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: FL 3039062) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |