NPI | 1649805607 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNET M KABUUSU Practice Owner 857-312-5626 |
Organization Subpart ? | No |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
Enumeration Date | 2020-03-10 |
Last Update Date | 2024-03-11 |