| NPI | 1669137964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE SMITH ISMAIL CEO 352-516-8991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2022-05-18 |