| NPI | 1306693908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADALYN JASMINE COSENSCI Authorized Official/ Owner 619-267-9257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-06-26 |