| NPI | 1336976810 |
|---|---|
| Doing Business As | GLEE CLINIC |
| Entity Type | Organization |
| Authorized Contact | REYNALDO RUEDA ACOSTA Np 786-665-6567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-10-28 |