| NPI | 1346763166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARISSA JEANNE KAJENSKI Owner 857-847-5306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2023-08-26 |