| NPI | 1316614829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIDIA BERRONE Owner 937-502-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2021-09-30 |