| NPI | 1497375323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA DOWNES Manager/Owner Of Business 561-252-1286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-06-21 |