| NPI | 1346929668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOUSSAINT GOLDING Owner Of Entity 772-812-0168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2023-07-13 |