| NPI | 1699409698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON LONG Owner/Provider 561-589-9566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2022-07-14 |