| NPI | 1639779713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN PATRICK LEONARD Sole Owner 562-665-6654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2025-08-15 |