| NPI | 1699419929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER A URUNE Owner Of Entity 682-615-1945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2022-05-25 |