NPI | 1396590659 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE ANDREA VON DER HEYDE Manager 305-290-2175 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-04-20 |
Last Update Date | 2025-09-30 |