| NPI | 1437695541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALE ELIZABETH BELANGER Pmhnp 772-214-0613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |