| NPI | 1285486936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD REYES CASILANG President 833-559-9559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2026-03-30 |