| NPI | 1689304388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC JOSEPH BABIN CEO 941-321-6751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2025-10-23 |