| NPI | 1578198198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARDAI R SEEMONGAL Owner 954-296-2067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-10-07 |