| NPI | 1699238279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY VONA Nurse Practitoner/Owner 289-733-5101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2021-01-15 |