| NPI | 1598582058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIGID ANN KIRLIN Owner 463-240-1670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |