| NPI | 1407396120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAQUELINE SIMPSON-DUNNE Owner 475-214-8233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: CT 3260) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |