NPI | 1538481429 |
---|---|
Entity Type | Organization |
Authorized Contact | TERESA HOOVER President 888-320-9655 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP1951172) |
Enumeration Date | 2010-02-19 |
Last Update Date | 2012-04-02 |