| NPI | 1518775139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVIER L AGET-TORRES Co Owner 929-487-2874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-12-28 |
| Last Update Date | 2025-01-19 |