| NPI | 1689540361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERVELIE ISIDOR Psychiatric Nurse Practitioner 754-214-3803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-10-11 |
| Last Update Date | 2025-10-11 |