| NPI | 1699517854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LAZARUS Owner 407-917-5073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |