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 Community/Behavioral Health |
261QM0801X | |
Enumeration Date | 2020-04-21 |
Last Update Date | 2020-06-21 |