| NPI | 1356855639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE BOYD CEO, Mgr, Dnp 954-906-4106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL 9295246) |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2017-11-26 |
| Last Update Date | 2025-04-10 |