NPI | 1497428312 |
---|---|
Entity Type | Organization |
Authorized Contact | SEAN CANNONE Owner/ Cmo 888-660-4425 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2021-07-27 |
Last Update Date | 2024-04-09 |