| NPI | 1619511755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA J BRINER-JOHNSON Owner/Member 561-339-2534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2022-07-18 |