| NPI | 1386470920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIMRODE TOUSSAINT Owner, President 305-725-3379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-11-26 |