| NPI | 1316881931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA ROSE WHITTAMORE Pmhnp/Owner 321-747-4331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-04-15 |
| Last Update Date | 2026-04-15 |