| NPI | 1528859956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH ANN WALTERS Owner 239-314-6417 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-15 |