| NPI | 1477251460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON LELANIA LONG Owner 561-629-0454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2024-11-20 |