NPI | 1275839953 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH SULLIVAN President 954-447-7020 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 3017212) |
Enumeration Date | 2011-01-28 |
Last Update Date | 2011-01-28 |