| NPI | 1699409698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON LELANIA LONG Owner/Provider 561-768-4248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2024-11-20 |