| NPI | 1639968159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRIZ GUTIERREZ Pmnhp 954-765-6505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-05-15 |