| NPI | 1659096253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANASTASIA SYMONE BURNS Owner 857-654-5202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-05 |