| NPI | 1386414712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIA MYRTO MCNEIL Owner/Clinician 267-903-6779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-09-09 |