| NPI | 1629719471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOTUNRAYO IBRAHEEM Nurse Practitioner 305-370-9023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-05 |