| NPI | 1477376226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | D'ARTHANA LORENZO BURRELL Owner 954-560-1703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2024-11-05 |