| NPI | 1437951068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMILAH LYONS Owner 786-495-6664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-03-25 |