| NPI | 1528811445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADIA VALENTIN Clinical Director 855-405-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-04-10 |