| NPI | 1336084904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLA OSBORNE Authorized Official 954-507-7820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-04-21 |
| Last Update Date | 2026-07-17 |