| NPI | 1386369700 |
|---|---|
| Doing Business As | SHARED PURPOSE |
| Entity Type | Organization |
| Authorized Contact | ANAMARIA SHANLEY Nurse Practitioner/ Owner 407-917-6015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2023-03-06 |